Andrew David Sisisky

Primary specialty

NutritionistTaxonomy code 133N00000X

License

11028 Issued in FL

Practice address

621 NW 108TH Ave
Plantation, FL 33324-1002

Phone

(305) 710-4457

NPI assigned

Oct 11, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Simplex HealthGroup PAC ID 8022354182, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Simplex Health

  • Registered Dietitian
  • Ambler, PA
  • NPI 1598137218
  Medicare reassignment Care Compare group NPD
• Adrian Chiu, PH.D., PLLC

  • Psychologist
  • Ambler, PA
  • NPI 1366890337
  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1407637838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 NW 108TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241002",
            "telephone_number": "305-710-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NW 108TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241002",
            "telephone_number": "305-710-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISISKY",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "11028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika G Singh, MD
• Patti Ann Sinkoe, LMFT
• Sara Sinno, DO
• Mohamed Sirage
• Lisa Hane Sirota, MD
• Emon A Skaff, DMD
• Skin and Cancer Associates
• Skin and Cancer Associates
• Carolyn Rae Skinner-Sandora, PT
• Skinnergie LLC (Perfectly Crowned)

• Nutritionist in Plantation, FL
• Providers in Plantation, FL by specialty
• Nutritionist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.